Pancreatoduodenectomy with uncut-Roux-en-Y reconstruction in patients with previous radical gastrectomy.
Hye Jin KimHyun Soo ShinSu-Hyeong ParkHye Yeon YangChang Moo KangPublished in: Annals of hepato-biliary-pancreatic surgery (2023)
Gastric cancer is very common. Many patients have undergone radical gastric cancer surgery in Korea. Recently, the number of cases with secondary cancer occurring in other organs such as periampullary cancers is increasing as survival rate of gastric cancer patients increases. There are some clinical issues in managing patients with periampullary cancer who have undergone radical gastrectomy previously. Considering that pancreatoduodectomy (PD) has two phases (i.e., resection and reconstruction), it can be very complicated and controversial to perform safe and effective reconstruction following PD in patients with a previous radical gastrectomy. In this report, we present our experiences of uncut-Roux-en-Y fashioned reconstruction in PD for patients with a previous radical gastrectomy and discuss its technical characteristics and potential advantages.
Keyphrases
- papillary thyroid
- end stage renal disease
- squamous cell
- ejection fraction
- gastric bypass
- minimally invasive
- chronic kidney disease
- squamous cell carcinoma
- mental health
- peritoneal dialysis
- lymph node metastasis
- risk assessment
- atrial fibrillation
- coronary artery bypass
- weight loss
- human health
- patient reported
- bariatric surgery